Cushing's Syndrome - Exogenous
Alternate Names : Corticosteroid-Induced Cushing's Syndrome, Cushing's Syndrome - Corticosteroid Induced, Iatrogenic Cushing's Syndrome
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Diagnosis & Tests
- current use of cortisone, prednisone or other corticosteroids
- low or undetectable morning plasma ACTH level
- low or undetectable morning plasma cortisol level
- failure to respond to a Cosyntropin stimulation test
- low free cortisol level if measured in the urine
- high levels of the offending medication in the urine if measured by a special technique called high performance liquid chomatography (HPLC)
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fasting glucose is sometimes elevated
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serum potassium may be low
- low bone mineral density as measure by dual X-ray absortiometry (DEXA)
- high cholesterol, particularly high triglycerides and low high density lipoprotein (HDL)
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